Classifications

• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
  • A61L29/00—Materials for catheters, medical tubing, cannulae, or endoscopes or for coating catheters
  • A61L29/08—Materials for coatings
  • A61L29/085—Macromolecular materials
• • C—CHEMISTRY; METALLURGY
  • C08—ORGANIC MACROMOLECULAR COMPOUNDS; THEIR PREPARATION OR CHEMICAL WORKING-UP; COMPOSITIONS BASED THEREON
  • C08G—MACROMOLECULAR COMPOUNDS OBTAINED OTHERWISE THAN BY REACTIONS ONLY INVOLVING UNSATURATED CARBON-TO-CARBON BONDS
  • C08G18/00—Polymeric products of isocyanates or isothiocyanates
  • C08G18/06—Polymeric products of isocyanates or isothiocyanates with compounds having active hydrogen
  • C08G18/08—Processes
  • C08G18/0838—Manufacture of polymers in the presence of non-reactive compounds
  • C08G18/0842—Manufacture of polymers in the presence of non-reactive compounds in the presence of liquid diluents
  • C08G18/0847—Manufacture of polymers in the presence of non-reactive compounds in the presence of liquid diluents in the presence of solvents for the polymers
  • C08G18/0852—Manufacture of polymers in the presence of non-reactive compounds in the presence of liquid diluents in the presence of solvents for the polymers the solvents being organic
• • C—CHEMISTRY; METALLURGY
  • C08—ORGANIC MACROMOLECULAR COMPOUNDS; THEIR PREPARATION OR CHEMICAL WORKING-UP; COMPOSITIONS BASED THEREON
  • C08G—MACROMOLECULAR COMPOUNDS OBTAINED OTHERWISE THAN BY REACTIONS ONLY INVOLVING UNSATURATED CARBON-TO-CARBON BONDS
  • C08G18/00—Polymeric products of isocyanates or isothiocyanates
  • C08G18/06—Polymeric products of isocyanates or isothiocyanates with compounds having active hydrogen
  • C08G18/08—Processes
  • C08G18/10—Prepolymer processes involving reaction of isocyanates or isothiocyanates with compounds having active hydrogen in a first reaction step
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
  • A61L2400/00—Materials characterised by their function or physical properties
  • A61L2400/10—Materials for lubricating medical devices
• • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
  • Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
  • Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
  • Y10T428/00—Stock material or miscellaneous articles
  • Y10T428/31504—Composite [nonstructural laminate]
  • Y10T428/31551—Of polyamidoester [polyurethane, polyisocyanate, polycarbamate, etc.]

Definitions

• the present invention concerns improvements in or relating to lubricious coatings and to methods of preparation thereof and application to the surface of a substrate. More particularly, the present invention relates to a hydrophilic lubricious coating which binds to the surface of, for example, medical instruments, such as, catheters, probes or feeding tubes, which instruments, in use, are inserted into a human or animal body cavity. Such hydrophilic lubricious coating aids passage of said medical instruments into such body cavity.
• jelly-like preparations have been smeared onto the surface of medical instruments before insertion into cavities of the body.
• a major disadvantage exhibited by such jelly-like preparations was that, on removal of such medical instruments from said body cavity, such jelly-like preparations were easily dislodged from the surface of said medical instruments and, consequently, resulted in a substantial degree of discomfort being experienced by the user.
• residual jelly may remain within said body cavity which can produce a focus for subsequent infection.
• hydrophilic lubricious coatings can be applied during manufacture of such medical instruments.
• the major disadvantage exhibited by such hydrophilic lubricious coatings is that the processes developed for applying such coatings to such medical instruments comprise numerous steps, which are time consuming and as a result thereof, large scale production is less financially beneficial.
• Further disadvantages of such coatings are that a high proportion of soluble material used washes off in use and therefore, the effective life span of said medical instruments is substantially reduced.
• some hydrophilic lubricious coatings exhibit roughness in their dry state and consequently, such roughness may be off- putting to the user.
• One such method of making such a hydrophilic lubricious coating comprises dipping the medical instrument, such as a catheter, to be coated into diphenylmethane di-isocyanate (MDI) and allowing same to dry.
• MDI diphenylmethane di-isocyanate
• Such medical instrument, with a dry coating of MDI is then dipped into a hydrophilic agent, such as polyethylene oxide, which is also allowed to dry.
• a hydrophilic agent such as polyethylene oxide
• both the MDI and the hydrophilic agent are heated in order that they may react resulting in the formation of the desirable hydrophilic coating.
• the major disadvantage of such a process is that on adding the MDI first, an excess of the hydrophilic agent must also be added in order to ensure that the coating is not over cross-linked, since this would prevent the coating being hydrophilic.
• too much hydrophilic agent may wash off in use and consequently, be left behind in the bladder which is undesirable.
• the surface of said medical instrument is rough prior
• the hydrophilic lubricious coating of the present invention can be applied in a single step to the surface of such medical instrument.
• the composition of the present invention can be formulated to reduce the proportion of soluble material which may wash off in use and, consequently, the effective life span of such hydrophilic lubricious coating is substantially increased.
• the coating of the present invention exhibits smoothness in both the dry and wet states which may be preferable to the user.
• a hydrophilic lubricious coating particularly suitable for coating the surface of medical instruments, such as catheters, tubes or probes; wherein said hydrophilic lubricious coating comprises a non-toxic, cross-linked hydrophilic polyurethane which is insoluble in water.
• Polyurethane is generally formed from a polyether, for example, polytetramethylene glycol which may have a molecular weight of 2000. Said glycol reacts with an isocyanate, for example, diphenylmethane di-isocyanate to form a pre-polymer comprising blocks of polyether or polyester capped with diphenylmethane di-isocyanate. Other di-isocyanates may be used. Said pre-polymer is then reacted with either a diamine, such as ethylene diamine or with a diol, such as 1:4 butanediol to extend the chain length of said pre-polymer.
• a diamine such as ethylene diamine
• a diol such as 1:4 butanediol
• the polytetramethylene glycol can be substituted by polyethylene oxide or polyethylene glycol. This is usually incorporated into the pre-polymer, wherein the length of the polyethylene glycol is restricted in order to prevent the final polymer becoming soluble.
• the diol which is substituted by a hydrophilic diol having a very large molecular weight, for example, polyethylene glycol or polypropylene glycol.
• the ratio of pre- polymer to glycol is chosen such that in the reacting solution cross-linking occurs producing a hydrophilic polymer which is not soluble.
• a method for preparing a hydrophilic lubricious coating comprising adding a non-aqueous solution of a pre-polymer, said pre-polymer being formed from a polyether or polyester and an isocyanate, to a non-aqueous solution of a hydrophilic diol, having a high molecular weight, wherein the ratio of pre-polymer to hydrophilic diol is such that when the two solutions react, cross- linking occurs to produce a hydrophilic polyurethane which is insoluble in water.
• the hydrophilic diol is polyethylene glycol, although polypropylene glycol can also be utilised, if desired.
• the molecular weight of the hydrophilic diol is generally in the range of 5000 to 30,000, with polyethylene glycol having a molecular weight of approximately 20,000 being particularly desired.
• the ratio of pre-polymer to hydrophilic diol, weight for weight is selected depending upon the nature of the substrate to which the lubricious coating is to be applied. Additionally, the selected ratio preferably ensures that there is excess pre-polymer present within the lubricious coating. Such excess pre-polymer forms further chemical cross-links with the substrate, thereby assisting in the formation of a relatively tough coating which has a longer life span. Accordingly, each particular lubricious coating is substrate specific and, depending upon the nature of the substrate to be coated, the ratio, weight for weight, of pre-polymer to hydrophilic diol utilised to form the hydrophilic cross-linked polyurethane may range from 1:1 to 1:8, preferably 1:2 .
• the pre-polymer is preferably used as a 2 to 20%, further preferably 10%, solution in a non-aqueous solvent such as tetrahydrofuran, methyl pyrrolidone or methylene chloride.
• a non-aqueous solvent such as tetrahydrofuran, methyl pyrrolidone or methylene chloride.
• the hydrophilic diol is preferably used as a 2 to 20%, further preferably 10%, solution in a non-aqueous solvent such as dimethylformamide, dimethyl sulphoxide, dichloromethane or methyl pyrrolidone.
• a non-aqueous solvent such as dimethylformamide, dimethyl sulphoxide, dichloromethane or methyl pyrrolidone.
• a low molecular weight diol into the coating composition of the present invention, the addition of such material generally assisting in causing the high molecular weight hydrophilic diol to dissolve in its organic solvent.
• the lubricious hydrophilic coating of the present invention may also containing additional additives such as anti ⁇ microbial agents, for example, iodine or silver.
• a method of coating the surface of an article comprising applying the lubricious coating of the present invention to the article, suitably by spraying or dip-coating and drying and curing the sprayed or coated article.
• the sprayed or coated article is suitably dried and cured at a temperature of from 60 to 100°C, preferably 80°C, for a period of approximately 10 to 30 minutes, usually 20 minutes.
• the coated article is then allowed to cool and the coating can then be handled and, if desired, the article can be packed and, if necessary, sterilised utilising an appropriate sterilising agent such as ethylene oxide or by irradiation.
• an appropriate sterilising agent such as ethylene oxide or by irradiation.
• such medical instruments will comprise a suitable substrate to which the hydrophilic lubricious coating of the present invention will bind, such as PVC, polyurethane, nylon or latex.
• the mixture is then applied to a substrate made of for example, polyurethane or PVC, by spraying or dip-coating.
• the coating is then dried and cured in an oven at a temperature of 80°C for 20 minutes. After cooling, the coating can be handled and the device packed and sterilised.
• pre-polymers which may be used are A7554 and A7153, both available from Apollo Chemicals Limited.
• the molecular weight of the polyethylene glycol may vary from 5000 to 30,000 and it is also possible to use polypropylene glycol, polyethylene oxide and polypropylene oxide.
• hydrophilic lubricious coating Whilst the present invention has been generally described in relation to a hydrophilic lubricious coating for use on medical instruments, it is to be understood that such hydrophilic lubricious coating is also applicable in the case of any other implements which are desired to exhibit the same lubricious qualities of the hydrophilic coating of the present invention.

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• Chemical & Material Sciences (AREA)
• Health & Medical Sciences (AREA)
• Organic Chemistry (AREA)
• Polymers & Plastics (AREA)
• Medicinal Chemistry (AREA)
• Chemical Kinetics & Catalysis (AREA)
• Animal Behavior & Ethology (AREA)
• Veterinary Medicine (AREA)
• Public Health (AREA)
• General Health & Medical Sciences (AREA)
• Life Sciences & Earth Sciences (AREA)
• Epidemiology (AREA)
• Engineering & Computer Science (AREA)
• Manufacturing & Machinery (AREA)
• Materials For Medical Uses (AREA)

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• 1995
  • 1995-06-03 GB GBGB9511233.0A patent/GB9511233D0/en active Pending
• 1996
  • 1996-06-03 JP JP9500216A patent/JPH11506375A/ja not_active Ceased
  • 1996-06-03 WO PCT/GB1996/001314 patent/WO1996039204A1/en active IP Right Grant
  • 1996-06-03 US US08/973,250 patent/US6020071A/en not_active Expired - Lifetime
  • 1996-06-03 DK DK96919959T patent/DK0830150T3/da active
  • 1996-06-03 EP EP96919959A patent/EP0830150B1/de not_active Expired - Lifetime
  • 1996-06-03 DE DE69617231T patent/DE69617231T2/de not_active Expired - Lifetime
  • 1996-06-03 GB GB9611528A patent/GB2301596B/en not_active Expired - Fee Related

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